Second trimester bleeding

Question 1

Most common causes of bleeding in 2nd tri?

Answer 1

• Placenta previa
• Placenta abruption
• Uterine rupture

Question 2

Complications of placenta previa:

Answer 2

Maternal: hemorrhage, shock, infection , postpartum uterine atony, postoperative complications.

Fetal: prematurity, hypoxia, bleeding, IUGR, Rh immunization, malformation

Question 3

Placental abruption biochemical markers:

Answer 3

• Fibronectin

- Thrombomodulin

Question 4

Placental abruption complications:

Answer 4

• DIC
• Hypovolemic shock
• Ishemic necrosis of distant organs
• amniotic fluid embolism
• Uteroplacental stroke